Licensee: Phillip E Richardson

License Number:

0820

License Issued:

07/02/2015

License Cancellation:

08/31/2018

License Status:

Cancelled

Discipline Action:

No

Phone:

(480) 924-1552

Address:

OrthoArizona - Mezona Orthopaedic

6116 E. Arbor Ave., Ste. 118

Mesa

AZ

85206